Pamela Sue Koenig

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

9518 Kosta Dr
Cincinnati, OH 45231

Phone

(513) 692-0619

NPI assigned

Jan 25, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1295325058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9518 KOSTA DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45231",
            "telephone_number": "513-692-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9518 KOSTA DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45231",
            "telephone_number": "513-692-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPN INSURANCE",
            "identifier": "17000638",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3124665",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Koenderink
• Grace Mary May Koenig
• Jonna Koenig, P.T.
• Jordan Koenig
• Nicole Koenig, ATC
• Debra Ann Koenke, NP
• Lauren Koepke, M.A., CF-SLP
• Elizabeth Koetter
• Karen G Koetzle
• Wonshill Koh, MD

• In Home Supportive Care Agency in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.